Improving Quality and Safety in the Endoscopy Unit (Virtual) | November 2025-Reprocessing Guidelines Comparison and Guideline Adoption

Video Transcription

Video Summary

This presentation discusses the complexities and variability of endoscope reprocessing guidelines essential for infection control in clinical practice. It highlights the absence of a universally endorsed set of guidelines, with multiple organizations (SG&A, CDC, ARN, SHEA, APEC, European bodies) offering differing recommendations updated mainly since 2020. Core guidelines cover staff training, reprocessing room design, manual cleaning, high-level disinfection (HLD), drying, storage, surveillance, and documentation, though consensus is lacking on specific practices like training frequency, inspection methods, rinse water quality, and storage duration. Leak testing, proper manual cleaning per manufacturer instructions, and use of single-use brushes are emphasized. Surveillance includes cleaning verifications and microbiological testing, though approaches vary. Leadership should foster multidisciplinary collaboration to select appropriate guidelines and respond to breaches. Future research is needed on disinfectants, hang times, and verification methods to unify best practices for safe, effective endoscope reprocessing.

Asset Subtitle

Jim Collins, BS, RN, CNOR

Keywords

endoscope reprocessing

infection control

cleaning guidelines

high-level disinfection

surveillance and documentation

multidisciplinary collaboration